| NPI | 1710742689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 12.012953) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 10.212693) |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-03-13 |